Certified hospice palliative nurse CHPN exam Questions and answer, 100% Accurate.

Certified hospice palliative nurse CHPN exam Questions and answer, 100% Accurate. AIDS infection - -Bacterial, Viral, Fungal, Parasitic AIDS dementia - -causes Encephalopathy, 15% effected ALS (amyotrophic lateral sclerosis) 1st symptom - -swallowing difficulty followed by distal weakness Cerebral Metastases - -Brain mets account for 40% of all Cancer patients. Cerebral Metastases symptoms - -HA initial complaint, N/V, confusion, lethargy Leukemia 2 types - -chronic and acute Leukemia Clinical Manifestations - -Infection, fever, enlarged liver, spleen, kidneys, bleeding/bruising not explained, & hemorrhage pale, petechia, purpura liver failure symptoms - -fatigue, jaundice, ascites Dark urine, gray stool, bruising symptoms of bleeding internally - -sudden fever 101°, dyspnea, abdominal paik, dehydration Lymphoma types - -Hodgkins and Non-Hodgkins Hodgkin's disease - -painless lymph node swelling, generally in upper body, general fatigue, weight loss, fever, nifht sweats, back pain Non-Hodgkin's Lymphoma - -same symptoms except itching & night sweats Parkinson's disease - -Slow progression of motor skills, resting tremors, slowness, rigidity. typically in people 65 Parkinson Signs/Symptoms - -pill rolling movements in bands, loss of facial expression, difficulty initiating movement, gait changes Renal Cancer/symptoms - -asymptomatic early. Gross hematuria, dull, aching pain, palpable abdomen mass. polycythemia- HA, dizzy, vein inflammation, itchy. hypercalcemia- tired, poor appetite, freq. urine, thirst, n/v, confusion, constipation, poor concentration sickle cell disease - -pallor, jaundice, weakness, fatigue common symptoms sickle cell crisis - -multiple pain events, pale lips, tongje, palms, nail beds, lethargy, difficulty arousing, high fever 2 days sickle cell risk - -high r/o bacterial infections palliative sedation - -midazolam, propofol terminal weaning - -gradual withdrawal of mechanical ventilation terminal Extubation - -abrupt Removal of endotracheal tube Death Rattle Meds - -anticholinergic should be given @ 1st site of moisture. they cannot dry up secretions already present poverty barriers at EOL - -additional challenges to EOL care. lack of support. BIPAP (non-invasive ventilation) - -may be utilized at EOL for dyspnea in some pts who do not want to be intubated for RF but want something more than supplemental o2. ALS has been shown to improve quality of life. unhealthy coping in caregiver @ EOL - -signs: negative feelings (anger), withholding info to other family, refusing assistance, focusing on their needs only, refusing to acknowledge or accommodate differences in opinion among caregivers. intervene with assistance/resources tricyclic antidepressants - -tx neuropathic pain. High A/E tricyclic antidepressants A/E - -Anticholinergic common: dry mouth, urinary retention, tachycardia, delirium, constipation additional: arrhythmias, sedation, weight gain, sweating, sexual dysfunction. *pt may refuse to continue r/t A/E myoclonus - -jerks, sudden, brief, and uncontrollable movement. mostly upper extremity. most common cause is opiod. sign of opiod toxicity- need to change meds. Narcan for acute tx. benzos & antispasmodics can be tx in *some* pts Hypercalcemia - -urgent & serious late stage malignancy (unrelated to bone mets). no tx results in death